Pain Management and Palliative Care Pharmacy

General Description

The PGY2 Pain Management and Palliative Care Pharmacy Residency is designed to provide the resident with a wide array of experiences in pain and symptom management, while affording opportunities for collaboration with renowned clinicians and world class experts in research and education. The program is designed to provide a strong clinical foundation while developing analytical, leadership, teaching, and writing skills. It will also provide experiences in pain pharmacy, palliative care, hospice, and institutional policy around pain management. Upon completion of the program, the resident will be prepared to secure a specialized pharmacist position in pain management, palliative care, or hospice.

Program Description

The residency program in pain management and palliative care is designed to develop clinician expertise in pain and symptom management pharmacotherapy in order to practice in the inpatient, outpatient, or hospice setting as a clinical pharmacy specialist.

Program Structure

Required Clinical Rotations (one month unless otherwise noted)

Clinical Rotations:

  • Acute Pain Management
  • Addiction Consult Team
  • Adult Palliative Care I and II
  • Ambulatory Pain and Palliative Care (longitudinal or block, as available)
  • Hospice I (longitudinal or block, as available)
  • Pain Pharmacy Service
  • Psychiatry

Non-Clinical Rotations:

  • Orientation (July)
  • Research (December)
  • Staffing (longitudinal)

Elective Rotations

  • Addiction Consult Team II
  • Adult Heart Failure/Transplant
  • Adult Palliative Care III
  • Hospice II
  • Inpatient Medical Oncology
  • Opioid Stewardship
  • Pediatric Palliative Care
  • Pharmacogenomics

Additional Required Activities

  • Institutional Pain Management (longitudinal)
  • Research project (longitudinal)
  • Writing project (longitudinal)
  • ACPE-Accredited 1-hour CE Presentation
  • Teaching at College of Pharmacy
  • Professional and/or institutional committee involvement
  • Attendance at pharmacy meeting (plus poster)
  • Attendance at specialty meeting (not required, but highly encouraged)
  • Major topic discussions (longitudinal)
  • Attendance at Hospice and Palliative Medicine Fellows Seminar Series (longitudinal)

Other Learning Opportunities

  • Teaching certificate program (optional)
  • Virtual activities offered through the Society of Pain and Palliative Care Pharmacists


Approximately every 3rd weekend for no more than 15 weeks, 1 minor holiday and one major holiday block.

Research and Publications Opportunity

Through the research and writing requirements of the program, the resident has the potential to produce at least two manuscripts suitable for peer-reviewed publication by the completion of the residency. There may be additional opportunities depending on resident interest. Presentation to the interdisciplinary palliative care research group will also be available.

Teaching Opportunity

Residents receive a faculty appointment as Adjunct Clinical Instructor with the University of Michigan College of Pharmacy and have the option of completing a Teaching Certificate Program. Experience in rotation-related precepting and teaching of PharmD students and PGY1 residents is widely available. Opportunities to educate other disciplines (social work, medicine, nursing, etc.) may also be available depending on resident interest.

Resident Information


Resident Accolades

  • SMSHP Resident of the Year - Madison Irwin (2020-21)
  • SMSHP Exemplar Resident CE - Madison Irwin (2020-21)
  • Chief Resident - Madison Irwin (2020-21)
  • James G. Stevenson Excellence in Pharmacy Practice - Kyle Quirk (2019-20), Madison Irwin (2020-21)
  • ACCP Travel Award - Kyle Quirk (2019-20), Madison Irwin (2020-21)

Resident Publications

9. Quirk KC, Smith MA. Risk factors for the development of neuropsychiatric adverse-effects in ketamine treated pain. J Pain Pall Care Pharmacother. 2022; 36 (2): 88-94.

8. Irwin MN, Gunther W, Keefer P, Saul D, Singh SA, Wright J, Smith MA. Buprenorphine for chronic pain in a pediatric patient with sickle-cell disease. J Pain Symptom Manage. 2021; 62 (5): 1086-91.

7. Wright J, Louttit E, Pasternak E, Irwin MN, Spruit JL. Pain management in pediatrics. Adv Fam Pract Nursing. 2021;3: 195-214.

6. Irwin MN, VandenBerg A. Retracing our steps to understand ketamine in depression: A focused review of hypothesized mechanisms of action. Mental Health Clinician. 2021; 11 (3): 200-10.

5. Irwin MN, Quirk K, Banner A, Hosseini K, Smith MA. Strategies for rotation between gabapentinoids in the inpatient setting. J Pain Pall Care Pharmacother. 2021; 35 (1):13-22.

4. Irwin MN, Petersen K, Smith MA. Rapid buprenorphine induction for cancer pain in pregnancy. J Pall Med. 2020; In Press.

3. Quirk KC, Marks A, Wright J, Smith MA. Sublingual buprenorphine for pediatric cancer pain: a case report and review of the literature. J Pain Symptom Manage. 2020; 60 (5): 1055-8.

2. Quirk KC, Smith MA. Acetaminophen in patients receiving strong opioids for cancer pain. J Pain Palliat Care. 2020; 34 (4): 197-202.

1. Smith MA, Quirk KC, Saul DC, Rodgers PE, Silveira MJ. Comparing methadone rotation to consensus opinion. J Pain Symptom Manage. 2020;59(1):116-120.


  • Rania Bazzi, PharmD, BCOP
  • Julia Brown, PharmD
  • Jillian DiClemente, PharmD
  • Madison Irwin, PharmD, BCPS
  • Alanna Lehman, PharmD, BCOP
  • Thomas O'Neil, MD
  • Amy Pasternak, PharmD
  • Abbey Schwery, PharmD
  • Michael A Smith, PharmD, FCCP, BCPS
  • Amy VandenBerg, PharmD, BCPP

Residency Program Director Information

Michael A Smith, PharmD, FCCP, BCPS
Program Director & Pain/Palliative Care Clinical Pharmacist Specialist
University of Michigan Health, Department of Pharmacy Services
Clinical Associate Professor
University of Michigan College of Pharmacy
1500 East Medical Center Drive, B2D301/0008
Ann Arbor, MI 48109-5008
[email protected]
Phone: 734-764-5374
Fax: 734-232-3222

Residency Coordinator Information

Jillian DiClemente, PharmD
Program Coordinator & Pain Management Clinical Pharmacist Specialist
University of Michigan Health, Department of Pharmacy Services
1500 East Medical Center Drive, B2D301
Ann Arbor, MI 48109-5008
[email protected]









  Please check out the F.A.Q. for application deadlines and interview dates.